19th NCGP

Nordic GP 2015

Wednesday June 17

08:30 Culture session: Congress Hall

Nia Movement

Time
08:30-09:00

Room
Congress Hall

09:00 Keynote Sessions: Congress Hall

Linn Getz, Jan De Maesneer

Time
09:00-10:30

Room
Congress Hall

09:00 Linn Getz

How to care for the whole person in general practice: a million dollar question with a billion pixel answer?
All across medicine, it is becoming increasingly fashionable to speak about “the whole person.” In fact, two person-movements are on the rise: The first is Person-Centered Healthcare (PCH), the second Personalized Medicine (PM). Both movements are rooted in what I see as an imminent crisis in evidence-based thought and practice (EBM).  What is striking and profoundly challenging, however, is that PCH and PM propose fundamentally different ways forward. PCH is a humanistic and value-based movement, whilst PM is based in hi-tech molecular science.
How will the resulting tension affect the role of the GP? I believe the EBM-crisis opens “a dangerous opportunity” for general practice. But surfing the waves is not going to be easy. Hold on to your hat, and get ready for a spin!    

09:45 Jan De Maeseneer

Primary care and equitable and sustainable health care delivery: the need for health systems transformation.
In December 2014, the 4 Flemish professors in Family Medicine and Primary Health Care in Belgium decided to write a book: "Together we change: primary health care now more than ever!". Why do academics want to be involved in the policy-debate on the future design of the health system?

The main reason is that actually we face a fundamental transition in health care delivery. Our health systems are facing the following challenges: a demographical and epidemiological transition: with an increase of multi-morbidity. An increasing social gradient in health. A changing position of the patient, becoming a well-informed actor in the health system, multiculturality and globalization. In combination with financial austerity due to the economic crisis, the strengthening of the primary health care system becomes mandatory.

Starting from the principles of relevance, equity (access), quality, cost-effectiveness, person- and people centeredness, sustainability and innovation, the organization of the health system at the nano (provider-person interaction), micro (the primary care team), meso (the region) and macro (a country, Europe,…) level needs a fundamental re-thinking.

The outline of the proposal formulated by the 4 Flemish professors will be documented and debated with the audience.

10:30 Coffee break

11:00 Session 3

H2 Family matters – children’s and adolescents’ health and wellbeing in a family perspective.

Time
11:00-12:30

Room
H2

Programme No.
301-SY

Objective: The aim of this symposium is to present current research on and knowledge about the impact of family health, social conditions and the emotional environment on children’s health, wellbeing and long-term economic and social outcomes. Challenges in general practice in identifying and supporting these families and their children will be presented.
H1 The price of increased productivity: does psychiatry work as tool for exclusion of the young?

Time
11:00-12:30

Room
H1

Programme No.
302-WS

Objective:

To increase the awareness among general practitoners of our role in helping young adults faced with difficulties getting or keeping work or dropping out of education. By using examples from Norway and other nordic countries, we want to stimulate reflections and debate regarding over- and underdiagnosis in this particularly vulnerable group of young people whose future can be substantially influenced by the way the doctor interprets his/her problems.

G1 Developing Resources to Facilitate the Transition from GP Training into Established General Practice. The Similarities, Differences and Methods in Denmark, Norway, and Finland

Time
11:00-12:30

Room
G1

Programme No.
303-WS

Objective: The aims of this workshop are to provide participants with the opportunity to consider the type of support materials that can be developed for Establishing GPs, the various methods by which they can be developed, and how such support materials can be kept up to date and improved over time to ensure the continued relevance to the needs of Establishing GPs.
G2 Risk perception and clinical decision making in primary care

Time
11:00-12:30

Room
G2

Programme No.
304-SY

Objective: We aim to present new knowledge about different perspectives of health care professionals’ risk perceptions and clinical decision making. Furthermore, we intend to discuss differences between professional and personal risk perceptions and the impact on decisions in terms of both short and long-term outcomes.

G3 Finding individuals with diabetes: Benefits and harms

Time
11:00-12:30

Room
G3

Programme No.
305-SY

Objective: To clarify and discuss differences in diagnostic strategies of finding individuals with diabetes in each of 5 Nordic Countries.
J1 Statins for many. How many?

Time
11:00-12:30

Room
J1

Programme No.
306-SY

Objective: To scrutinize new guidelines for statin treatment and their consequences for people at risk for cardiovascular disease. Potential changes in primary health care work.
J2 General practice in undergraduate medical education. How do we assess competency?

Time
11:00-12:30

Room
J2

Programme No.
307-SY

Objective: To inspire GPs working with undergraduate medical education with Nordic examples of how general practice contributes to fulfillment of the requirements on the future physician.
R2 Pregnancy-related pelvic pain: Causes, consequences and management

Time
11:00-12:30

Room
R2

Programme No.
308-SY

Objective: The main aim of this symposium is to identify consensus and disagreements about causes, consequences, prevention and management of pregnancy-related pelvic pain. We will start the work to establish a consensus report regarding preventive and treatment measures based on reliable evidence. Also, we aim to identify neglected research areas in the field and to plan future inter-Nordic research.
R5/R6 So similar, but so different? Results from the Nordic countries in the framework of the Qualicopc project

Time
11:00-12:30

Room
R5/R6

Programme No.
309-SY

Objective: The purpose of the symposium is to present comparative results on primary care in Nordic countries and to increase mutual understanding of primary health care systems in our countries.
R31 Presenting the Danish national guidelines for GP's in palliative medicine 2014 in a Nordic perspective

Time
11:00-12:30

Room
R31

Programme No.
310-SY

Objective: Presenting the Danish national guidelines for GP's in palliative medicine 2014 and discussing guidelines about Palliation existing in other Nordic countries

12:30 Lunch break

13:30 Session 4

H2 Benefits and harms of general health checks - lifelong learning in general practice: how to read and use scientific literatur (preregistration needed)

Time
13:30-15:00

Room
H2

Programme No.
401-WS

Objective: After this workshop the participants will know the basics of how to read a systematic literature review, interpret a meta-analysis and be able to:
  • Assess if the research valid.
  • Summarise the study results.
  • Decide if the results can be applied to their own practice.

Clinical implication:

What are the benefits and harms of general health checks? This workshop will invite participants to read and critically appraise the corresponding Cochrane review.

Please pre-register to our workshop using this e-mail ebm.ws.Gothenburg.2015@gmail.com​

H1 To prescribe or not prescribe antibiotics - are rapid tests helpful?

Time
13:30-15:00

Room
H1

Programme No.
402-SY

Objective: To improve use of diagnostic rapid tests (POC) and antibiotic prescribing in Primary Care.
G1 Differences on the organisation and provision of general practice in Europe, Australia, Canada and New Zealand: what are the consequences in terms of quality and equity?

Time
13:30-15:00

Room
G1

Programme No.
403-SY

Objective: To show how the variation in characteristics of organisation on delivery of general practice in 34 countries relates to quality and equity.
G2 What is there in self-rated health?

Time
13:30-15:00

Room
G2

Programme No.
404-SY

Objective: To discuss the use of self-rated health (SRH) in General Practice.
G3 Nordic models for securing GP:s learning – what can we learn from each other?

Time
13:30-15:00

Room
G3

Programme No.
405-SY

Objective: To discuss pros and cons as well as lessons learnt from systems used to secure GPs continuing professional development (CPD).
J1 Person Centred Medicine - a humanistic approach to the clinical foundation of Family Medicine

Time
13:30-15:00

Room
J1

Programme No.
406-SY

Objective: To gain a better understanding of the concept of Person Centred Medicine (PCM) in the clinical context of general practice and to discuss how PCM is a useful way of meeting some of the challenges in "the changing world" of healthcare
J2 Equitable care in diabetes: High risk patients: How to spot them and the effect of treating them

Time
13:30-15:00

Room
J2

Programme No.
407-SY

Objective: To present results from the treatment of subgroups of the population who are at increased risk of acquiring type 2 diabetes, and who are at increased risk of diabetic complications and death after the diagnosis of diabetes.
R2 Symptom control and medical treatment in end of life care

Time
13:30-15:00

Room
R2

Programme No.
408-WS

Objective: Presenting the Danish national guidelines for GP's in palliative medicine 2014 with focus on symptom control and medical treatment in end of life care.
R5/R6 The role of the GP in Traffic Medicine Issues in the Nordic countries

Time
13:30-15:00

Room
R5/R6

Programme No.
409-SY

Objective: What does practice among GPs in the Nordic countries look like when it comes to finding medically unfit car drivers? What is working well and what difficulties do the rules and regulations in the different countries give GPs? What role do the GPs play in rehabilitation and medical controls after a conviction of drunk driving?
R22/R23 Quality improvement using data from the clinical record – what happens in the Nordic countries?

Time
13:30-15:00

Room
R22/R23

Programme No.
410-SY

Objective: To give an up-date how clinical data is collected and used for quality improvement (QI) in primary care in The Nordic Countries
R31 Physician, heal thyself! – the doctor as a patient

Time
13:30-15:00

Room
R31

Programme No.
411-WS

Objective: The aim of the workshop is to raise the awareness of how we as doctors take care for ourselves and address our own health and fragilities in professional life.

15:00 Coffee break

15:30 Session 5

H2 Challenges in research and in clinical practice when dealing with children’s and adolescents’ health and wellbeing in a family perspective

Time
15:30-17:00

Room
H2

Programme No.
501-WS

Objective: The aim of the workshop is to explore and discuss the challenges that practitioners and researchers meet when addressing the family perspective in their clinical work and research on children. Moreover, to discuss to what extend the family perspective is drawn into the context.
H1 The healthy individual in preventive medicine – a symposium about individuals’ preferences and relevant evidence in screening

Time
15:30-17:00

Room
H1

Programme No.
502-SY

Objective:
  • To recognise people’s expectations about general health checks
  • To understand some of the harms of screening and how these are assessed
  • To illustrate issues in assessing peoples’ information needs about screening
  • To understand the limitations of current methods of integrating patient preferences in screening decisions
G1 How can we work efficiently in primary care to find those in the population in need of promotive and preventive measures.

Time
15:30-17:00

Room
G1

Programme No.
503-WS

Objective: Based on preliminary experience from small-scale studies in the Nordic countries the objective is to discuss targeted early detection and prevention in general practice, with focus on:

How to identify and handle people at risk of lifestyle related diseases in general practice.

Acceptability among health care professionals and the general population and feasibility in ordinary primary care context in the Nordic countries.

Organizational challenges and drivers when implementing preventive programs.

An additional objective is to promote Nordic research collaboration on targeted prevention in general practice.

G3 Personalized medicine meets general practice - a SWOT analysis

Time
15:30-17:00

Room
G3

Programme No.
505-SY

Objective: To explore the topic ‘Personalized medicine” and how it might influence general practice. This symposium is planned to supplement Linn Getz’ keynote lecture about two emerging ‘person’ concepts in medicine; ‘high tech’ Personalized medicine versus ‘humanistic’ Person-centered medicine.
J1 WhatsApp, Doc? An Overview of Current Recommendations about Online Medical Professionalism and How to Tackle Obstacles

Time
15:30-17:00

Room
J1

Programme No.
506-WS

Objective: This workshop will explore and identify strategies and tools that promote, encourage and assist General Practitioners to achieve effective and time efficient use of Social Media. It also aims at building skills in online medical professionalism and providing an interactive PDF to support the participants in successfully participating on the Web 2.0.
J2 New evidence – change of practice? A workshop about patient information, patient values and shared decision making; with place of birth as case

Time
15:30-17:00

Room
J2

Programme No.
507-WS

Objective: To facilitate a qualified discussion among GPs about reception of new challenging evidence; to facilitate a discussion of how to provide proper patient information, elicit patient values and lay the ground for shared decision making.
R2 Registers from primary care – Valuable assets for research? Examples from the Scandinavian countries

Time
15:30-17:00

Room
R2

Programme No.
508-SY

Objective: To present large primary health care registries in Scandinavia

R5/R6 How ICPC (International Classification of Primary Care) may support quality improvement in primary care

Time
15:30-17:00

Room
R5/R6

Programme No.
509-SY

Objective: To increase the understanding of the benefits of the use of ICPC (International Classification of Primary Care) in primary health care as a part of the electronic medical record.
R22/R23 Teamwork, leadership and decision making in primary care emergency teams

Time
15:30-17:00

Room
R22/R23

Programme No.
510-WS

Objectives: Participants will be presented with a team training model for primary care emergencies that has proven sustainable for several years. Through small group discussions and short presentations of ongoing research we will explore how teamwork, leadership and decision making is enacted.
R31 First aid consultation kit: five cards and a package

Time
15:30-17:00

Room
R31

Programme No.
511-WS

Objective: To share our experiences of an easy way to identify, train and teach the essential dimensions of patient/personcentred care. We invite participants to test the presented consultation kit.

 


 
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NordicGP 2017

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